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Updated: Jul 1, 2025
Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
Published on: February 10, 2023
[Laparoscopic excision versus open excision for the treatment of choledochal cysts: a systematic review and
G Plasencia1, J C Alvarado2, C Z Corvera3
1Antenor Orrego Private University, Trujillo, Peru.
Objective:
To determine if laparoscopic excision is more effective than open excision in the treatment of choledochal cysts.
Material And Methods:
A systematic review of randomized clinical trials in 3 databases measuring the efficacy of laparoscopic and open excision of choledochal cysts was performed. The authors considered international and national reports, whose results were analyzed in detail.
Results:
Mean duration of laparoscopic excision was 51 min, open excision - 35.4 min. Length of hospital-stay after laparoscopic excision ranged between 5 and 74 days, after open excision - between 7 and 146 days. Bile leakage rate was 1-2% and 4%, respectively. Laparoscopic excision was followed by lower complication rate. Morbidity and mortality in laparoscopic excision was 20% and 0%, in open excision - 60% and 3.3%, respectively.
Conclusion:
Laparoscopic excision is more effective than open excision in the treatment of choledochal cysts.
